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Service quality in health care: empathy as a double-edged sword in the physician–patient relationship 医疗服务质量:同理心是医患关系中的一把双刃剑
IF 1.2 Q2 Medicine Pub Date : 2023-02-14 DOI: 10.1108/ijphm-09-2021-0092
Fabienne T. Cadet, F. Sainfort
PurposeAs one of the five major dimensions of service quality, empathy has been and continues to be regarded as a requirement for a successful service encounter. This paper focuses on the highly customer-centric service industry of health care. The purpose of this paper is to shed light on the potential negative effects of empathy on both the physician and the patient.Design/methodology/approachBuilding on an in-depth review of literature and well-established service quality models, the authors propose a new model for understanding the complex role of physician empathy in the physician–patient encounter. The trait, emotional intelligence (EI), is presented as a moderator for physician empathy levels.FindingsThe Health Care Optimal Physician Empathy (HOPE) model enables further characterization and analysis of the tradeoffs between patient satisfaction and physician burnout and determining when empathy optimally works to the benefit of both the physician and the patient to maximize service quality. The HOPE model provides a systematic way to understand and determine the appropriate level of physician empathy that results in optimal outcomes for both physicians and their patients by demonstrating the tradeoffs between physician burnout and patient satisfaction.Originality/valueThe authors highlight the potential detrimental effects on physicians themselves, and, in turn, on service quality. The theoretical and practical implications in this paper provide insights into the development and implementation of empathy-focused interventions and best practices to optimize service quality in the physician–patient interaction. The HOPE model is the first of its kind in shedding light on the manifestation of physician empathy.
目的作为服务质量的五个主要维度之一,同理心一直并将继续被视为成功服务的一项要求。本文关注的是高度以客户为中心的医疗保健服务业。本文的目的是阐明移情对医生和患者的潜在负面影响。设计/方法论/方法在对文献和完善的服务质量模型进行深入回顾的基础上,作者提出了一种新的模型,用于理解医生移情在医患接触中的复杂作用。情绪智力是医生移情水平的调节因子。发现医疗保健最佳医生移情(HOPE)模型能够进一步表征和分析患者满意度和医生倦怠之间的权衡,并确定移情何时对医生和患者都有利,以最大限度地提高服务质量。HOPE模型提供了一种系统的方法来理解和确定医生同理心的适当水平,通过证明医生倦怠和患者满意度之间的权衡,为医生和患者带来最佳结果。原创性/价值作者强调了对医生自身的潜在不利影响,进而对服务质量产生不利影响。本文的理论和实践意义为制定和实施以同理心为重点的干预措施和最佳实践提供了见解,以优化医患互动中的服务质量。HOPE模型是同类模型中第一个揭示医生同理心表现的模型。
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引用次数: 1
Understanding the determinants of adoption of mHealth services among older women’s perspective in Bangladesh 从孟加拉国老年妇女的角度理解采用mHealth服务的决定因素
IF 1.2 Q2 Medicine Pub Date : 2023-02-03 DOI: 10.1108/ijphm-05-2021-0055
M. Alam, Liza Khanam
PurposeThe purpose of this study was to explore the factors affecting adoption of mHealth services among the older women in Bangladesh. As this portion of the total population is rapidly increasing in Dhaka City.Design/methodology/approachUsing the technology acceptance model as a theoretical framework, this study introduces perceived reliability, price value and technology anxiety as new factor reflecting the user’s reliability, beliefs and monetary concerns in the acceptance of mHealth services. A structured survey was conducted to collect the required data from convenience sampling of 271 mHealth end users from Dhaka city in Bangladesh.FindingsThe study confirmed that perceived usefulness, perceived reliability; price value and technology anxiety had a significant impact on mHealth adoption. Ease of use did not influence on the adoption of mHealth services.Originality/valueTo the best of the authors’ knowledge, this study is one of the first to investigate the determinant of mHealth adoption among older Women. Moreover, the insights from this study could benefit mHealth services providers and policymakers in implementing more effective marketing strategies to increase the acceptability of mHealth services.
目的本研究旨在探讨影响孟加拉国老年妇女采用mHealth服务的因素。由于这部分人口在达卡市迅速增加。设计/方法/方法本研究以技术接受模型为理论框架,引入感知可靠性、价格价值和技术焦虑作为反映用户接受mHealth服务的可靠性、信念和金钱问题的新因素。进行了一项结构化调查,从孟加拉国达卡市271mHealth最终用户的便利抽样中收集所需数据;价格价值和技术焦虑对mHealth的采用有显著影响。易用性并没有影响mHealth服务的采用。独创性/价值据作者所知,这项研究是首批调查老年女性采用mHealth的决定因素之一。此外,这项研究的见解可能有利于mHealth服务提供商和政策制定者实施更有效的营销策略,以提高mHealth服务的可接受性。
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引用次数: 1
Examining the impact of marketing techniques on the prescription behavior of physicians with ethical ideology as a moderator 以伦理意识为调节因子考察营销技巧对医师处方行为的影响
IF 1.2 Q2 Medicine Pub Date : 2023-01-19 DOI: 10.1108/ijphm-01-2021-0009
Tanzeela Aqif, Sana Mumtaz
PurposeThis research paper aims to investigate the impact of pharmaceutical marketing on the prescription behavior of physicians. It further examines whether the use of various promotional techniques including advertisements, sales promotions, personal selling and direct marketing by pharmaceutical companies influences the prescription behavior of doctors. Based on the increasing ethical concerns regarding the promotion of specific drugs for personal gains, the research also investigated the moderating role of ethical ideology in the above relationship.Design/methodology/approachTo accomplish the research goals, quantitative research methods were used. Using the online questionnaire, data were collected from 93 doctors working in government and private hospitals in Pakistan, and structural equation modeling technique was used to analyze the impact of pharmaceutical marketing techniques on the prescription decisions of physicians.FindingsThe findings suggested that marketing strategies of pharmaceutical companies positively influences the prescription behavior of doctors. Further, physicians having weak ethical standards are likely to be strongly influenced by the marketing and promotional practices of companies.Practical implicationsThe research is pivotal in understanding the perspective of doctors and the ethical considerations that need to be addressed while devising the marketing campaigns by pharmaceutical companies. Further, these findings provide important implications regarding the essential linkage between ethical values and the development of right marketing tools.Originality/valueTo the best of the authors’ knowledge, this research is one of the first few to empirically develop and test the role of moral values followed by physicians when they take prescription decisions. Based on the findings, future researchers are encouraged to further investigate the need of setting boundaries for pharmaceutical companies and restricting their usage regarding the promotional tactics.
目的本研究旨在探讨药品营销对医师处方行为的影响。它进一步研究了制药公司使用各种促销手段,包括广告、促销、个人销售和直接营销,是否会影响医生的处方行为。基于越来越多的伦理关注对特定药物的个人利益的促进,本研究还探讨了伦理意识形态在上述关系中的调节作用。设计/方法/方法为了达到研究目标,采用了定量研究方法。通过在线问卷调查,收集了巴基斯坦政府和私立医院的93名医生的数据,并利用结构方程建模技术分析了药品营销技术对医生处方决策的影响。研究结果表明,制药公司的营销策略对医生的处方行为有正向影响。此外,道德标准薄弱的医生很可能受到公司营销和促销行为的强烈影响。实际意义该研究对于理解医生的观点和制药公司在设计营销活动时需要解决的伦理问题至关重要。此外,这些发现对道德价值观和正确营销工具的发展之间的本质联系提供了重要的启示。原创性/价值据作者所知,这项研究是第一批以经验发展和测试医生在决定处方时所遵循的道德价值观的作用的研究之一。基于研究结果,鼓励未来的研究者进一步研究是否需要为制药公司设定界限并限制其在促销策略方面的使用。
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引用次数: 1
Macro environment determinants affecting the availability of artemisinin-based combination therapies in Uganda 影响乌干达青蒿素联合疗法可用性的宏观环境决定因素
IF 1.2 Q2 Medicine Pub Date : 2022-12-19 DOI: 10.1108/ijphm-09-2020-0074
Pross Oluka Nagitta, M. Mkansi
PurposeArtemisinin-based combination therapies (ACTs) have been developed to treat uncomplicated malaria. However, scanty studies exist to inform the role of macro factors in explaining the nonavailability of ACT in developing countries. Therefore, this paper aims to evaluate the different macro-environment factors affecting the availability of ACTs in the public hospital setting.Design/methodology/approachThis study applied a quantitative methodological approach and structural equation modeling (SEM) to test hypotheses statistically. SEM examines linear causal relationships among variables while accounting for measurement error. Confirmatory factor analysis (CFA) was used to assess model reliability. CFA and SEM were used to determine the shared variance-covariance of variables, define the latent construct and provide a more precise way to account for the error variances associated with the variables, which, if untested, could lead to biased parameter estimates. This was guided by the data collected from 40 general public hospitals with 283 respondents.FindingsThis study’s results support a model for promoting social-cultural, technological and legal factors. The availability of ACTs is significantly affected by legal factors. Improving legal aspects by a unit can enhance ACT availability by 0.59. Political factors scored the least, and they do not influence the availability of malaria drugs.Research limitations/implicationsThe design was quantitative and cross-sectional. Future research could be longitudinal with a mixed-method approach and consider other external stakeholders.Practical implicationsReducing the impact of the nonavailability of antimalarial drugs in general public hospitals requires a holistic concerted and coordinated supply chain approach that tackles the political, economic, social-cultural norms, technological and legal factors.Originality/valueThe authors develop and test a model using macro factors: political, economic, social, cultural, technological and legal factors. This model is relevant for many developing countries to supply chain coordination perpetually experiencing medicine shortages.
目的以青蒿素为基础的联合疗法(ACTs)已被开发用于治疗无并发症的疟疾。然而,很少有研究表明宏观因素在解释发展中国家无法获得acts方面的作用。因此,本文旨在评估影响ACTs在公立医院可获得性的不同宏观环境因素。设计/方法学/方法本研究采用定量方法学和结构方程模型(SEM)对假设进行统计检验。扫描电镜检查变量之间的线性因果关系,同时考虑测量误差。验证性因子分析(CFA)用于评估模型的信度。CFA和SEM用于确定变量的共享方差-协方差,定义潜在结构,并提供更精确的方法来解释与变量相关的误差方差,如果未经检验,可能导致参数估计偏倚。这是根据从40家综合性公立医院和283名受访者收集的数据进行的。本研究的结果支持了一个促进社会文化、技术和法律因素的模型。ACTs的可获得性受到法律因素的显著影响。通过一个单位改进法律方面可以使ACT的可用性提高0.59。政治因素得分最低,而且它们不影响疟疾药物的可得性。研究局限性/意义本研究采用定量和横断面设计。未来的研究可以纵向混合方法的方法,并考虑其他外部利益相关者。要减少普通公立医院无法获得抗疟药物的影响,就需要采取协调一致的整体供应链办法,处理政治、经济、社会文化规范、技术和法律因素。原创性/价值作者利用政治、经济、社会、文化、技术和法律等宏观因素开发并检验了一个模型。这一模式与许多发展中国家长期经历药品短缺的供应链协调有关。
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引用次数: 0
Comparing media coverage of the pharmaceutical industry: pre-and post-pandemic lockdown 比较媒体对制药行业的报道:疫情封锁前后
IF 1.2 Q2 Medicine Pub Date : 2022-12-01 DOI: 10.1108/ijphm-05-2022-0044
Stephen J. Porth, G. Sillup
PurposeThe purpose of this paper is to analyze media coverage of the pharmaceutical industry before and after the COVID-19 lockdown to determine whether the coverage changed in light of a global health-care crisis and the fast-track development of vaccines and antiviral treatments.Design/methodology/approachThe top five US newspapers were audited, comparing the 12-month periods before and after March 2020 coinciding with the pandemic lockdown, yielding 493 front-page articles and editorials. Each headline and full-text article was separately analyzed and categorized as either positive, negative or neutral toward the pharmaceutical industry. A frequency analysis of the hot button issues covered in each article was conducted.FindingsYear 1 and Year 2 audit results were compared to identify changes in media coverage pre- and post-lockdown. The amount of coverage of the industry increased 145% and the tone of both headlines and articles shifted dramatically. Only one of the five newspapers had a net positive article rating of the industry pre-lockdown, four of five were net positive post-lockdown. The proportion of positive headlines increased 165%. The top issues discussed in the coverage shifted from persistent challenges for the industry (e.g. opioid crisis, high cost of drugs) to the emergence of the virus and status of vaccine development.Originality/valueThis research establishes how media coverage of the pharmaceutical industry changed as the industry responded to a global health-care crisis and identifies implications for industry stakeholders.
目的本文旨在分析新冠肺炎封锁前后媒体对制药行业的报道,以确定报道是否因全球医疗危机以及疫苗和抗病毒治疗的快速发展而发生变化。设计/方法/方法对美国前五大报纸进行了审计,比较了2020年3月前后与疫情封锁相吻合的12个月期间,共产生493篇头版文章和社论。每一篇标题和全文文章都被分别分析,并被归类为对制药行业的积极、消极或中立。对每篇文章中涉及的热点问题进行了频率分析。调查结果对第一年和第二年的审计结果进行了比较,以确定封锁前后媒体报道的变化。该行业的报道量增加了145%,标题和文章的基调都发生了巨大变化。五家报纸中只有一家在封锁前对该行业的文章评级为净正面,五家中有四家在封锁后为净正面。正面新闻的比例增加了165%。报道中讨论的首要问题从该行业的持续挑战(如阿片类药物危机、药品成本高)转移到病毒的出现和疫苗开发状况。独创性/价值这项研究确定了随着制药行业应对全球医疗危机,媒体对制药行业的报道是如何变化的,并确定了对行业利益相关者的影响。
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引用次数: 0
Demand forecasting accuracy in the pharmaceutical supply chain: a machine learning approach 药品供应链中的需求预测准确性:一种机器学习方法
IF 1.2 Q2 Medicine Pub Date : 2022-11-30 DOI: 10.1108/ijphm-05-2021-0056
L. Yani, A. Aamer
PurposeDemand foresting significantly impacts supply chain (SC) design and recovery planning. The more accurate the demand forecast, the better the recovery plan and the more resilient the SC. Given the paucity of research about machine learning (ML) applications and the pharmaceutical industry’s need for disruptive techniques, this study aims to investigate the applicability and effect of ML algorithms on demand forecasting. More specifically, the study identifies machine learning algorithms applicable to demand forecasting and assess the forecasting accuracy of using ML in the pharmaceutical SC.Design/methodology/approachThis research used a single-case explanatory methodology. The exploratory approach examined the study’s objective and the acquisition of information technology impact. In this research, three experimental designs were carried out to test training data partitioning, apply ML algorithms and test different ranges of exclusion factors. The Konstanz Information Miner platform was used in this research.FindingsBased on the analysis, this study could show that the most accurate training data partition was 80%, with random forest and simple tree outperforming other algorithms regarding demand forecasting accuracy. The improvement in demand forecasting accuracy ranged from 10% to 41%.Research limitations/implicationsThis study provides practical and theoretical insights into the importance of applying disruptive techniques such as ML to improve the resilience of the pharmaceutical supply design in such a disruptive time.Originality/valueThe finding of this research contributes to the limited knowledge about ML applications in demand forecasting. This is manifested in the knowledge advancement about the different ML algorithms applicable in demand forecasting and their effectiveness. Besides, the study at hand offers guidance for future research in expanding and analyzing the applicability and effectiveness of ML algorithms in the different sectors of the SC.
目的需求森林对供应链(SC)设计和恢复计划有显著影响。需求预测越准确,恢复计划越好,供应链越有弹性。鉴于机器学习(ML)应用研究的缺乏和制药行业对颠覆性技术的需求,本研究旨在研究ML算法在需求预测中的适用性和效果。更具体地说,该研究确定了适用于需求预测的机器学习算法,并评估了在制药sc中使用ML的预测准确性。设计/方法/方法本研究使用了单一案例解释方法。探索性方法考察了研究的目标和获取信息技术的影响。在本研究中,进行了三种实验设计来测试训练数据划分,应用ML算法和测试不同范围的排除因素。本研究使用了Konstanz信息挖掘平台。通过分析,本研究可以发现,训练数据分区最准确的准确率为80%,随机森林和简单树在需求预测准确率方面优于其他算法。需求预测准确度的提高幅度在10%到41%之间。研究局限/启示本研究提供了实践和理论见解,说明在这种颠覆性的时代,应用ML等颠覆性技术来提高药品供应设计的弹性的重要性。独创性/价值本研究的发现有助于对ML在需求预测中的应用的有限知识。这表现在不同的机器学习算法在需求预测中的应用及其有效性方面的知识进步。此外,手头的研究为未来的研究提供了指导,以扩展和分析ML算法在SC不同领域的适用性和有效性。
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引用次数: 1
The past, present, and future of first aid and health education: a case study in Hong Kong 急救和健康教育的过去、现在和未来:以香港为例
IF 1.2 Q2 Medicine Pub Date : 2022-11-25 DOI: 10.1108/ijphm-10-2021-0100
M. Lo, Wai Chung James Ng, Chi Fai Gary Ng, M. Ng
PurposeThe demand for ambulance services in Hong Kong is increasing and first aid plays an important role in saving lives. The government recognized first aid training courses offered by four organizations. This study aims to review and discuss the past, present and future of first aid and health training in Hong Kong.Design/methodology/approachThis study adopted a case study approach to investigate the operations and development of the first aid and health training in one of the largest training providers in Hong Kong. Publicly available secondary data, including annual reports, websites, newspapers and social media, were collected and analysed. Using the thematic analysis procedure, researchers familiarised the data collected, generated initial codes, searched for themes, reviewed themes, defined themes and reported the results.FindingsThrough data analysis, researchers identified six themes which help to address the research questions regarding the types of first aid and health training courses, quality issue, awareness of first aid in the community and the future delivery of first aid training.Practical implicationsThis study provided two implications on both micro and macro levels. At the micro level, training providers can enhance training quality by adopting technology. At the macro level, training providers can continue to advocate and facilitate the integration of first aid into the formal education curriculum. The last section addressed the limitations of this study and provided future research directions.Originality/valueThis study provided insights about the development of the first aid and health education and training. Health-care training providers and policymakers could benchmark the findings from this study and develop appropriate measures for promoting health education.
目的香港对救护车服务的需求日益增加,急救在拯救生命方面发挥着重要作用。政府认可四个组织提供的急救培训课程。本研究旨在回顾和讨论香港急救和健康培训的过去、现在和未来。收集和分析了公开的二级数据,包括年度报告、网站、报纸和社交媒体。使用主题分析程序,研究人员熟悉收集的数据,生成初始代码,搜索主题,审查主题,定义主题并报告结果。发现通过数据分析,研究人员确定了六个主题,这些主题有助于解决有关急救和健康培训课程类型、质量问题、社区急救意识和未来急救培训的研究问题。实际含义本研究提供了微观和宏观两个层面的含义。在微观层面,培训提供者可以通过采用技术来提高培训质量。在宏观层面,培训提供者可以继续倡导和促进将急救纳入正规教育课程。最后一节阐述了本研究的局限性,并提出了未来的研究方向。独创性/价值本研究为急救和健康教育培训的发展提供了见解。卫生保健培训提供者和政策制定者可以参考这项研究的结果,并制定适当的措施来促进健康教育。
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引用次数: 0
The impact and success of health-care-related social media usage – pre- and post-COVID analysis 医疗保健相关社交媒体使用的影响和成功——新冠肺炎前后分析
IF 1.2 Q2 Medicine Pub Date : 2022-10-10 DOI: 10.1108/ijphm-10-2020-0092
Mallika Srivastava, M. Raina
PurposeThe overall purpose of this empirically validated research paper is to determine factors that impact the success of using social media channels by consumers for salvaging health-care information by integrating constructs of the information system (IS) success model, e-health service quality and perceived usefulness during pre- and post-COVID settings.Design/methodology/approachOnline survey responses of 243 consumers for study 1 and 184 consumers for study 2 were validated using factor analysis to understand consumers’ attitudes toward social media use. Constructs from existing literature and theories have been extracted to develop the proposed model, which has been empirically validated through statistical tests. A paired-samples t-test was also conducted to compare the customer satisfaction mean of pre- and post-COVID conditions; and word of mouth (WOM) for pre- and post-COVID conditions.FindingsThe outcome of this study supports that service quality and information quality conclusively influence customer satisfaction of consumers for health-care information among respondents pre COVID, and service quality, perceived usefulness and information quality conclusively affect customer satisfaction of consumers for health-care information among respondents post COVID. Furthermore, the e-health service quality contributes noteworthy in shaping the consumers’ satisfaction with social media usage for study 2 and information quality for study 1. A paired-samples t-test revealed that the two groups behaved significantly differently for customer satisfaction and WOM in the two groups.Research limitations/implicationsAt prima facie, this study has a geographical limitation for the sample size. The respondents for the online research were from the urban suburb of Bengaluru, India. The data collection has not focused on any precise social media channel.Practical implicationsIdentification and comprehension of constructs that influence consumer satisfaction related to social media usage for health-care information can assist health-care managers in developing appropriate strategies for consumers to maximize social media usage. Moreover, this study provides an insight into the consumer’s perception of using social media channels for seeking health-care information.Originality/valueThis study recommends an empirically validated model for the success of social media in a consumer setting for the health-care scenario. This research is a unique attempt that inspects social media satisfaction by adapting constructs from existing theories of the IS success model, e-health service quality and perceived usefulness.
目的这篇经过实证验证的研究论文的总体目的是通过整合信息系统(is)成功模型的构建、电子医疗服务质量和在新冠肺炎前后环境中的感知有用性,来确定影响消费者成功使用社交媒体渠道抢救医疗信息的因素。设计/方法/方法使用因子分析对研究1的243名消费者和研究2的184名消费者的在线调查结果进行验证,以了解消费者对社交媒体使用的态度。从现有文献和理论中提取结构来开发所提出的模型,并通过统计测试进行了实证验证。还进行了配对样本t检验,以比较新冠肺炎前后情况的客户满意度平均值;以及针对新冠肺炎前后情况的口碑(WOM)。研究结果本研究的结果支持,在新冠肺炎之前,服务质量和信息质量最终影响消费者对受访者医疗保健信息的满意度,而服务质量、感知有用性和信息质量则最终影响新冠肺炎之后受访者消费者对医疗保健信息满意度。此外,研究2的电子健康服务质量在塑造消费者对社交媒体使用的满意度和研究1的信息质量方面做出了值得注意的贡献。配对样本t检验显示,两组在客户满意度和口碑方面的表现显著不同。研究局限性/含义从表面上看,这项研究对样本量有地理限制。在线调查的受访者来自印度班加罗尔郊区。数据收集没有集中在任何精确的社交媒体渠道上。实际含义识别和理解影响消费者满意度的结构,这些结构与医疗保健信息的社交媒体使用有关,可以帮助医疗保健管理人员为消费者制定适当的策略,以最大限度地利用社交媒体。此外,这项研究还深入了解了消费者对使用社交媒体渠道寻求医疗保健信息的看法。独创性/价值这项研究推荐了一个经验验证的模型,用于社交媒体在医疗保健场景的消费者环境中的成功。这项研究是一项独特的尝试,通过改编现有的信息系统成功模式、电子医疗服务质量和感知有用性理论来检验社交媒体满意度。
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引用次数: 0
Conceptualising and measuring experiential health-care services: role of consumer involvement 概念化和衡量体验式保健服务:消费者参与的作用
IF 1.2 Q2 Medicine Pub Date : 2022-10-04 DOI: 10.1108/ijphm-02-2021-0018
H. Chahal, K. Dutta, A. Rani
PurposeThe purpose of this paper are threefold paper are threefold; firstly, to validate and measure significant dimensions of customer experience in the health care sector; secondly, to evaluate the antecedents and dimensions of customer experience and its impact on customer outcomes in health care; and thirdly, to examine the role of customer involvement as a moderator between antecedents and dimensions of customer experience.Design/methodology/approachThis study is based upon primary data collection sources, particularly in-depth interviews, focus group interviews and survey methods. Both qualitative and quantitative studies were carried out. This qualitative study was conducted to conceptualize customer experience in the health-care sector. Whereas the quantitative study was undertaken to collect data from randomly selected, experienced 181 respondents for testing the proposed model.FindingsAffective, relational and physical have emerged as significant customer experience dimensions in the health-care sector. All three dimensions have a positive and significant impact on the important customer outcomes, that is, satisfaction, attitudinal loyalty and brand equity. Service quality, supportive services and contextual services significantly affect customer experience. Customer involvement moderates the relationship between all the three antecedents and dimensions of customer experience.Research limitations/implicationsThis study is primarily focused on customers' perceptions of the health-care sector. This study’s model could be implemented in different sectors such as lodging, food service, restaurant or other industries as well. Further, the role of moderators, namely, consumer attitudes, service quality, perceived risk, price and past experience, are also suggested to be explored for theorising the customer experience.Originality/valueThis study makes a maiden attempt to establish affective, relational and physical as three significant dimensions of customer experience in the health-care sector. Sensory and cognitive dimensions are found to be insignificant.
目的本文的目的有三重,论文有三重;首先,验证和衡量医疗保健行业客户体验的重要维度;其次,评估客户体验的前因和维度及其对医疗保健客户结果的影响;第三,考察顾客参与在顾客体验的前因和维度之间的调节作用。设计/方法论/方法本研究基于主要数据收集来源,特别是深入访谈、焦点小组访谈和调查方法。进行了定性和定量研究。进行这项定性研究是为了概念化医疗保健部门的客户体验。而定量研究是从随机选择的181名有经验的受访者中收集数据,以测试所提出的模型。发现情感、关系和身体已经成为医疗保健领域重要的客户体验维度。这三个维度都对重要的客户结果产生了积极而显著的影响,即满意度、态度忠诚度和品牌资产。服务质量、支持性服务和情境服务显著影响客户体验。客户参与调节了所有三个前因和客户体验维度之间的关系。研究局限性/含义本研究主要关注客户对医疗保健行业的看法。这项研究的模型可以在住宿、餐饮服务、餐饮或其他行业等不同行业实施。此外,还建议探索调节因素的作用,即消费者态度、服务质量、感知风险、价格和过去经验,以对客户体验进行理论化。独创性/价值本研究首次尝试将情感、关系和身体作为医疗保健部门客户体验的三个重要维度。感官和认知维度被发现是微不足道的。
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引用次数: 1
Patient engagement behaviors in hospitals: the role of word of mouth and patient helping behaviors 医院患者参与行为:口碑和患者帮助行为的作用
IF 1.2 Q2 Medicine Pub Date : 2022-09-30 DOI: 10.1108/ijphm-01-2020-0003
M. Fattahi, M. Farzin, Marzieh Sadeghi, Rosha Makvandi
PurposeThe purpose of this study is to investigate patient perceived value as a stimulus of patient engagement behaviors both from the conceptual and empirical perspectives.Design/methodology/approachBased on the stimulus–organism–response framework, the authors developed a model to determine the impact of patient perceived value on patient engagement behavior in health care. The data were collected from a sample of 391 patients hospitalized in private hospitals. Structural equation modeling technique was used to test the research hypotheses.FindingsThe findings confirmed relevance of the service quality dimensions reliability, tangibility, responsiveness and empathy as significant antecedents of patient perceived value. Perceived value plays a significant role in shaping word of mouth and patient helping behaviors.Research limitations/implicationsThe findings of this study are relevant and applicable to patients in private hospitals.Practical implicationsThis study contributes to the literature by providing new evidence on patient perceived value and engagement behaviors as a response to care quality. With adequate focus on perceived value and service quality, service providers can strengthen the relationship with patients and build a sustainable competitive advantage, by stimulating engagement behaviors in patients.Originality/valueThis study is of unique value to the health-care literature, both from the theoretical and managerial point of views. This study proposes a conceptual model of patient perceived value which can be used in the private health sector. Moreover, this study contributes to the health-care literature by introducing patient-helping behavior.
目的从概念和实证两方面探讨患者感知价值对患者参与行为的刺激作用。基于刺激-有机体-反应框架,作者开发了一个模型来确定患者感知价值对患者参与医疗保健行为的影响。数据收集自391名在私立医院住院的患者。采用结构方程建模技术对研究假设进行检验。研究结果证实了服务质量维度的相关性,可靠性、有形性、响应性和移情是患者感知价值的重要前因。感知价值在口碑和患者帮助行为的形成中起着重要作用。研究局限/意义本研究结果对民营医院患者具有相关性和适用性。实践意义本研究通过提供患者感知价值和参与行为作为对护理质量的反应的新证据,对文献有所贡献。通过充分关注感知价值和服务质量,服务提供者可以通过刺激患者的参与行为来加强与患者的关系,并建立可持续的竞争优势。独创性/价值本研究对卫生保健文献具有独特的价值,无论是从理论还是从管理的角度来看。本研究提出了一个病人感知价值的概念模型,可用于私营卫生部门。此外,本研究通过引入病人帮助行为,对卫生保健文献有所贡献。
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引用次数: 2
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International Journal of Pharmaceutical and Healthcare Marketing
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